Infantile mortality during child-birth and its prevention / by A. Brothers.

  • Brothers, A. (Abram), 1861-1910
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Infantile mortality during child-birth and its prevention / by A. Brothers. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    asphyxiated, often die, whereas, if persistent and repeated efforts be made to get the lungs fully inflated with air, many of these little lives may be saved. Among the other lesions in the chest were noted catarrhal and in- terstitial pneumonia, pulmonary oedema, beginning abscesses in the lungS; pleurisy, and hemorrhagic effusion into the pleural cavity. The heart, in some, contained ])lood-clots, ecchymoses in its substance, and hemorrhages in the endo- and pericardium. In some the heart- muscle was pale. In one the foramen ovale was partial!}' open, and in another the aorta curved to the right. The liver showed various conditions. It was bile-stained and yellowish-brown, enlarged and hyperemic or cirrhotic, ecchymotic, fatty, or contained small abscesses. The gall-bladder, in one, was distended and its duct obstructed by mucus. The spleen was ansemic, or deeply congested, or enlarged and firm, or the seat of splenitis. The kidneys were ansemic, or congested, or succulent, or the seat of interstitial and parenchymatous nephritis, or of urate infarcts. In one difficult labor case the kidney was ruptured. One kidney was displaced. The stomach was ansemic, or congested, or distended with gas. In others it was small, or the seat of catarrhal gastritis, or contained blood and mucus. The intestines were anemic, or congested in parts, or the seat of bloody extravasations. They were distended with feces or gas. In two cases the children were born with imperforate anus and rectum. In one case there was intussusception. The descending colon was bound down by adhesions in one, and, in another, the duodenum passed through the head of the pancreas with consequent obstruction. The brain showed anemia, or softness, or congestion, or thinning of its substance. The meninges were inflamed or the seat of hemorrhage. The ventricles contained an excess of fluid or blood. One case showed sub-aponeurotic and sub-dural clots, while another showed ecchymoses and staining of the occipital bone. The peritoneum was the seat of acute diffuse peritonitis with serum and fibrin in the abdominal cavity in several cases. In one there was matting of the liver, intestines and gall-bladder. The skin was ecchymotic in four cases, jaundiced in three cases, and, in single cases, the seat of pem- phigus, erysipelas, and umbilical abscess. Among the rarer findings might be mentioned cleft palate, oedema of the glottis, abscess of the mammary gland, hypospadia, blood particularly dark colored, bloody